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HomeMy WebLinkAboutBLD2008-00495 - 3 •BUILDING PERMIT APPLIC,ON MR eview Type: i Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00495 Received Date: 12/1/2008 SITE ADDRESS: 172 ANN KIVLEY DR PORT HADLOCK, 98339 OWNER: ROBERT L GARTEN PHONE: 360-379-6862 TAMMI J GARTEN 171 SHOTWELL RD PORT HADLOCK WA 98339 MELWOOD TERRACE SUBDIVISION: Block: Lot: 34+ PARCEL NUMBER: 972000034 Section: 1 Township: 29 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: 253-840-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH*983BD Expires 11/8/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATT GARAGE & A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,576 VALUATION 273,181.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 800 SHORELINE: CONST TYPE: DECK: 132 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 TotaL ___3_ Routing Date: C ' 12-kb? Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,968.15 LYK 12/01/08 102987 ����®��� Plan Check $1,279.30 LYK 12/01/08 102987 State Building Code $4.50 LYK 12/01/08 102987 Potable Water Application $59.00 LYK 12/01/08 102987 DEC 0 2008 Total: $3,310.95 Jefferson County Planning & Building Department 1 Jefferson County Building 0s1on Permit NuSr: BLD08-00495 Applicant: GARTEN BUILDING PERMIT INSPECTION APPROVALS kpplicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks , Minimum setback from Ann Kively Drive right-of-way shall be 20 feet. c Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 FOR CONSTRUCTION ENT. STABILIZATION Foundation Footing CI -F-ooting i n Foundation Stem Wall �(__ DC( v_. �Jlry� - Underground Plumbing "� Under Floor Framing - r vj Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing 4,- 10-0 1 Framing -io—opt Blocking Airseal p_it D 1 Insulation:Walls Oct Insulation: Floors Insulation: Ceiling q_i � � Int. Shear Wall Nailing ,.,, I ,D r„ cv Wallboard Nailing -2_1-on Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCKS. MINIMUM OF 5 REQUIRED. Address Posted l I- ( - ' ._C f.i ^ , FINAL INSPECTION '+ Z i FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00495 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASH BLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) PRIOR TO OCCUPANCY & BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP02-00162 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 4.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE SLEEVED/CASED OR EQUIVALENT. VERIFICATION TO BE SUPPLIED TO HEALTH DEPARTMENT ON RECORD DRAWING BY SEPTIC DESIGNER. 5.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM SOIL COMPACTING ACTIVITIES; INCLUDING BUT NOT LIMITED TO VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 6.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 7.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 8.) To help prevent seawater from iSding landward into underground aquifers, ew development activity on Marrowstone Island, Indian Island and within 1/4 mile o p ny marine shoreline shall be required to infiltrate all stormwater runoff onsite. 9.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 10.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 11.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage)yards. In no case, shall any such junk motor vehicles be stored in a critical area. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 18.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 19.) Minimum setback from Ann Kively Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 20.) The road approach permit(RAP08-0099) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. r,e_9.0N cO�,. JEFFERSON COUNTY II ' \q \ DEPARTMENT OF COMMUNITY DEVELOPMENT `, " '*4 621 Sheridan Street • Port Townsend •Washington 98368 � • 360/379-4450 • 360/379-4451 Fax gS, N 0Gtt www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 5 Project Description(include separate sheets as necessary): /14,A1 S'i'nli' , t' £ASS 44.)/a // e.kr Ci 34 ,« Tax Parcel Number: 72 2£ (;)c2tl_3 V Property Size: / 2 > ! Ac:r'(s- (acres/square feet) Site Address and/or Directions to Property: / 2 2 , el/7f2' le,' V/e y D,- . /?/7. c f p J22 c1/a.a e/,, );-) /I�',ss'r f-ne y i-1,.s fYet./' !, f 9 7`b ie✓71 9-4)to/4 .,;i f ri,d►f- P` operty Owner(s)of Record: 76 h',—? ra m,--n1 eGr r//t rl Telephone: -? 1 c/ -&YG' 2 Fax: email: /cc'!/}/ycir .7 z9`—Mailing Address: / / l Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship Plan ' ' ❑ Demolition Permit may, 0 Variance(Minor, Major or Reasonable Economic Use).Single Family of Garage Attache /JDetached 0 Conditional Use[C(a),C(d),or C]** 0 Manufactured Home 0 Modula? -� 0 Discretionary"D"or Unnamed Use ificatl n❑ Commercial* 0 Special Use(Essential Public-Facilities)** C�08 0 Change of Use 0 Boundary Line Adjustment ❑ Address IRoad Approach ❑Short Plat** ❑ Home Business 0 Cottage Industry ❑ Binding Site Plan** VPropane 0 Long Plat** ❑Sign ❑Allowed"Yes"Use ConsistencyAnalysis 0 Planned Rural Residential Development(PRRD)/Amendments** Y 0 Plat Vacation/Alteration 2"Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE l �,���•--- ,�,� 4 4 Date: ///1 Ag By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the op tion that he/4r s wants prior notice. Signature: � --",✓/ Date: /'/ /7 /c;, The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trap able respon bility for adhering to and complying with the ESA. The Applicant has read this disc) imer and signs and dates it below. Signature: r*� � {� Al' �� , ���,� Date: 74s G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc IMIW BUILDER ill STATEMENT IR The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: FAX: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ( ) 7f II•ne A ey�e5 �1 n , ( ) MAILING ADDRES 43L�L 6,2 -2- /mil/ / rv/411%' :- ,, 1 9C ?i3 CONTRACTOR'S LICENSE WAINS NUMBER NUMBER: A6D�/t>LJ2ha /913 to 0. PHONE ( ) F ( ) ARCHITECT/ENGINEER: MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 'Wood Existing: ❑ Sewer I Addition ❑ Steel j(New ,P Proposed: .�. Bank ❑ Community System ❑ ❑ Alteration/Remodel CJ ❑ Concrete Total: 2 - 4 Height: ,e1ndividual System pa SEP Permit# ❑ De El Masonry Bedrooms: Water Supply: ❑ Demolition IIOther:her: Existing: Setback: ❑ Private well r Two Party Proposed: ? a-Public Type of Heat: Total: ..j / 0 Name of System: Ci 17 Ye.✓ry el If/I' If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: Number of occupants(includes owners,tenants,employees,etc) Current Proposed Type Occupancy: IBC T e of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation_permit,mark all items below that apply: i Underground Tank - round Tan) Size of Propane Tank: -i-Zi isat Stov,0 - ook Sto i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove I Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / ei When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision"Is�J d App Review: H 7�Main Floor Heated •,( T �7 1 (� ,)�11/yO� • 00 2"°Floor Heated Consistency Review: 5^ O Other Heated Base fee: � �/VtG� Mezzanine Additional Section: tU lJ Heated Basement Plan Check fee: I a7q,30 ^Unheated Basement State Surcharge fee: 4 GJb Other Unheated Pot Water Review fee: l5 CO arag Carport SUBTOTAL 35,7 2 cis Decks 911/Rd Approac ee: ._.__,_______ Other IV ve✓eol Perth 13 LI 3363 3k. TOTAL: $ 513.9 / Receipt Number: I ozq s7 Cash/Check Number: CO ESTIMATED COST(REQUIRED) a /g/, ate: /, •Fair market value of all labor and materials foundati. to i1 ish r, Initials: I V '.e7/r (P 7, 000 G:\PerrnitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc t ill • . -1101FINIcb, � JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 4, , 621 Sheridan Street • Port Townsend • Washington 98368 l`YZIINO�'O 360/379-4450 • 360/379-4451 Fax http://wvvw.cojefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE INILA# - 3 PROJECT/APPLICANT NAME: at r ex\ I Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. C®n Sri't ti new I asIdeele� 5, ()r•dL c c.L ay To ?vo' x/0' cy a : cApedf ,q,-)'i k p .cj ." Fp ck 3,/c/" Existing Conditions Summary DEC — 1 2008 R 2. Describe the existing topography. Indicate contours on the site map. r reN� ro Ja4pNop�r ry / gHdc....44 t .cD� e- groper ry F/n- 'R1" slS,P�t, po em i' di ,w a; j 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 5)1 ,'5 /may cie v'C4 7-7., ; ' bCr, )o9gcd /off 4. Describe the existing soils. Indicate soil type on the site map. co '6\ ib • SAS tra ;;i5 ()cry , � _S�4nr��ar.os�- 4VK T-- n,Cc_ i cI,tye5 yw7' ho I dQ W 4-7'Gr- ^ 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. Vle t S Cure. 7b Ai i horn m c tropefhy kVL �s7 5i' � • ._ r�c,r � h � i rLo 14-?/9-7'c-ir. pnever.7 y cii�i)S 4s/f pip S14;Si, ,',1 ff�� // AP ROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN Y e-i't1 I i /G rO l S r j �� -fjG�Gl• �i "— Stormwat �S DEC 3 0 2008 Require• III ►, NA7.,, giiii JEFFERS.�,i DEPT.OF • l t D; OP E stormwatersiteplantemplate—rev.10/21/2008 $IGNATUR': ,i. �r�, �� A,.. 5 RP MP 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)on the site. Indicate location on the site map. The- prop Cr-r 510pe3 rroi _lti457 2> a.9T• u,.a-/ S/p c. L 1 O . t I L le/U ri v'cr/ reu.i Tr Ges Cece aCJ`G /W .-rj 314e• are-, 494 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes,steep slopes,et1c.). /_ S'DG47 C s 7 C D i^`1G'r. Ct_S P A6-I� Re.ncI bore S ,EA-5 sr r o buJ I Al tl A!- 17/'G C 7 I j C4 t r Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locat?these facilities on the site plan and differentiate proposed facilities from existing facilities. -i i5 /erS Cd /z.,,�C. ,t.1b4ih T /,s /6 3 Atryr,s . .ii 77 ti't �_.. d c�t....t-t s 1Opr_ r 77Pc. ©C -�-)/al 4,,01- _A-t wa c.a i (( Ai4vG I o/p r'sion 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] ��//7 ci/S et �1 ,Ol - 11. Describe the performance goals and standards applicable to the project. T S; e_ h�-"5 o k rc.�t E.�,u,, IA 9 eJ ; �- ;s C.(C,a- 1 I.a i•i o G' ,,,sj,'o-7, Uty 1,'/1/ s-IC.-- work 6� Abu.,WW/i►i 70u•S'—Jo", 9 12; -Describe the flow control system.' .. f 1 7/e,rc /S 72,0 '��YrS1-iin9 7/a ' S' On SI,PC d ' 57. t Vc.� a/ S/�clr r fly 5N .. • t 6 stormwater site plar template`tev.'t0/21/2008 • 13. Describe the water quality system. t/ / 7-1-e. s14 iS /�c_ cs;�c ,/',�s dry . /1�1i' Q t'Gc'r '. �In..,a e ' fiw Wc�Tc 14. Describe the conveyance system analysis and design.g 7r� i�c s1(A, i s)a( a '141(c 4L4 1/l.c� I-Or S ICRu1 ,6194I5 (A5ea( '► -F' nr r c( t 15. Describe the source of fill material, physical characteristics Aof fill material, and deposition of a ess material. r% V -r'-"t/` d�f '� r-cr„X c oer J) j i', Q s i 4c 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. �1`tfib 1-l/z5)/ 1a £i ,t — 3'I - cm 6 11 (JD/ /0er r.,)i1 (1, ��c! �,} tvr_ed n,nt �7'Vtc 1 dA, 490.1'1 GI (° t p -ie .1.t1 - t i-i c Gee - 17. Describe the proposed surfacing material. be.-/1`G_4_eean o e- cAdIr 4 r P '�f '�e.0 . c gG s� 5 J. tuft( 4,5 18. Describe methods for restoration of the site. 2. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [Thiel§ iormally i-glAred for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. 1\AI— f 20. List here and include any special reports or studies conducted to prepare the Storwvater Site Plan. .5;JG 15_ �'�e-ttl+'t I4C? �?4c rt,_�z2 r►+Gr rsG 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements, describe those conditions or restrictions here. 110 pepiv :'i 9 /? eCilic• /S 0 (reit+�'y .2771/B-IC}V7,..>'�i•c� JtAeu! Sy s l'c4-1 4,A4Cf" C`i\ SI C �drNtl al•��� 7v Qf, it_ (3 , stomiwater site plan template—rev 10/21/2008 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. 5 7 G_ f/ z. r'-t e /,ter' yLQ rr'r 3 t9 c 2. Establish Construction Access. 64 C ss S 5 sarive es pod SPol 7-0 C r' Fa fr , 3. Control Flow Rates. efts. A 6= 1f'S i/l beG[ SC d 4. Install Sediment Controls. 5 c6 u` C.o/) i 1-0 t �D c 118�. n c,ct2r!!1 Inc; ) ,� �u-y Lcv .. cl)5�c,I./ey s a� 5. Stabilize Soils. 6. Protect Slopes. sf c 5/ ;cA4 (a/eie-,.Q 7. Protect Drain Inlets. 6,- l'D w /4c ,4 ct`;VcA stormwater site plan template—rev.10/21/2008 8 S • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. / -6 i1rl7G % /l r-i�<� r,/ as 46fr c , 9. Control Pollutants. b?`-�7r Cx norcnT lcc� cwv 5!1r irceeldr C'%.cam ,)I "op LA.) )( h e A. st, 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). NO O ck. GO A-ret)115 S . 5 Z:t)s/. 1.,1 $&, (fit%1 t .,6 c c're-/lkt Teed 11. Maintain Best Management Practices(BMPs). O 4.4 WATT. d ei QA S i ie. cam" OLAA 0'i 4.4 'S Ste A Q74.7riot4srs 12. Manage the Project. /y //� y- e9 C 6e-etG la-,/ OA S% i>1:7 /31,41 tl4-l�Nic p/`o,4 Cr-4 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 7Ae-re- Ls An lE I i s F}lo/iq 1-1,c4c._ V?to e', er. ,! S GAS �Gt]t•-t T Ara Q/h.�fC v -� )'t S l✓ art L1" ,o s'/V Z',eAyM 1 //�'k. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum.distance of 400 yards).be loch tow royoer7 y / - 2003 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/21/2008 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. w/tet 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability, permeability,depth,texture, soil structure). Ate) i.ros .} --•. � 61r�j s 5% d s (../er7 5. Construction Phasing. a. Construction sequence t 5;)G /arc o s �1�p�cQ E3c�.i f d1 �C7 J�e9c..na11-/�N1 b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. — 5Z4c grcf' II. Wet Season Construction Activities. a. Proposed wet season construction activities. /61— b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. ni/94 3 4?-,f4b1; 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stormwater site plan template—rev.10/21/2008 SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades, dimensions, and direction of flow in all ditches,swales, culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length, and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices.__. f. Detail stabilization techniques for outlet inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. i r — 1 `008 uC� j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template—rev.10/21/2008 11 • S Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. 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